Jessica Waggoner, LCSW
NPI #1104932938 in Manchester, Connecticut
Provider Information
- NPI Number
- 1104932938
- Entity Type
- Individual
- Name
- Jessica Waggoner, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 587 MIDDLE TPKE E
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-3731
- Phone
- (860) 646-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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